DR. MARTHA E STEWART (NPI# 1972535284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972535284 |
| Entity Type | Individual |
| Full Name | DR. MARTHA E STEWART |
| Credential | MD |
| Practice Address |
4060 Lonesome Rd Mandeville LA 70448-7085 |
| Practice Telephone | 9857277701 |
| Practice Fax Number | 9857277375 |
| Mailing Telephone | 9857277701 |
| Mailing Fax Number | 9857277375 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 022941 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1485951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447502224 | Martha Lynn Stewart | Registered Nurse | 3042 Archway Cir, Buford, GA 30519-8074 | 2012-10-04 |
| 1073820577 | Martha K Stewart | Counselor | 2007 Powers Ln, Effingham, SC 29541-3161 | 2010-09-03 |
| 1588664809 | Martha J Stewart | Internal Medicine | 5992 Berryhill Rd Ste 302, Milton, FL 32570-1017 | 2005-07-28 |
| 1790304483 | Martha Stewart | Student in an Organized Health Care Education/Training Program | 3420 5th Ave, Pittsburgh, PA 15213-3205 | 2020-04-13 |
| 1598132581 | Martha Jean Stewart | Nurse Practitioner | 131 Coventry St, Hartford, CT 06112-1548 | 2015-08-26 |
| 1619156163 | Martha Louise Stewart | Nurse Practitioner | 101 Merrimac St, Rm. 420, Boston, MA 02114-4724 | 2007-11-01 |
| 1285707653 | Martha Anne Stewart | Physician Assistant | 1665 Dominican Way, Suite 222, Santa Cruz, CA 95065-1580 | 2006-11-15 |
| 1972575520 | Martha D Stewart | Family Medicine | 22 Hartford St, Houlton, ME 04730-1844 | 2006-02-07 |
| Street Address |
4060 LONESOME RD |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265460869 | Martha E Stewart Md LLC | Dermatology | 4060 Lonesome Rd, Mandeville, LA 70448-7085 | 2006-06-30 |
| 1053601252 | Amy Theresa Metzger Ananth | Dermatology | 4060 Lonesome Rd, Mandeville, LA 70448-7085 | 2011-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992029888 | Scott Dunbar | Dermatology | 321 Scotchpine Dr, Mandeville, LA 70471-2583 | 2010-03-21 |
| 1265460869 | Martha E Stewart Md LLC | Dermatology | 4060 Lonesome Rd, Mandeville, LA 70448-7085 | 2006-06-30 |
| 1053601252 | Amy Theresa Metzger Ananth | Dermatology | 4060 Lonesome Rd, Mandeville, LA 70448-7085 | 2011-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939526 | Mcdaniel Dermatology, LLC | Dermatology | 109 New Camellia Blvd Ste 200, Covington, LA 70433-7829 | 2020-10-09 |
| 1851919005 | Cenla Dermatology | Dermatology | 1587 N Bolton Ave Ste 1300, Alexandria, LA 71303-4255 | 2020-07-13 |
| 1457904658 | Advanced Skin Care | Dermatology | 3434 Prytania St Ste 420, New Orleans, LA 70115-3502 | 2019-07-17 |
| 1821551573 | Mara Haseltine Md LLC | Dermatology | 3100 Galleria Dr Ste 203, Metairie, LA 70001-2196 | 2019-04-10 |
| 1851865869 | Southern Dermatology of New Orleans | Dermatology | 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115-7403 | 2019-01-14 |
| 1235643891 | Esthetic Md | Dermatology | 3769 Pontchartrain Dr Ste 3, Slidell, LA 70458-4852 | 2017-11-18 |
| 1235678558 | Family Dermatology Specialists, LLC | Dermatology | 3421 N Causeway Boulevard, Suite 202, Metairie, LA 70002-3759 | 2017-02-20 |
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1982098836 | Tyson Meaux | Dermatology | 101 Rue Fontaine, Lafayette, LA 70508-5744 | 2015-03-27 |
| 1447678610 | Stratton Grisoli | Dermatology | 150 Lakeview Cir, Covington, LA 70433-7512 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.